Provider Demographics
NPI:1740089481
Name:BEAUTIFUL MINDS MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:BEAUTIFUL MINDS MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBIANCHI
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC-D, LPC, ACS
Authorized Official - Phone:347-210-1350
Mailing Address - Street 1:139 GURLEY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-1614
Mailing Address - Country:US
Mailing Address - Phone:347-210-1350
Mailing Address - Fax:
Practice Address - Street 1:139 GURLEY AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-1614
Practice Address - Country:US
Practice Address - Phone:347-210-1350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty